New Westminster Ski & Snowboard Club 2016/17 Trip Information
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- Gertrude Blankenship
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1 NEW WESTMINSTER SECONDARY SCHOOL th Street New Westminster, BC V3M 3S9 Telephone: (604) FAX: (604) Website: New Westminster Ski & Snowboard Club 2016/17 Trip Information Your son or daughter has chosen to take part in the NWSS Ski & Snowboard Club. Parents/ Guardians are asked to please read the forms and fill out in full the attached forms if your son or daughter is to participate in the following NWSS Ski & Snowboard Club one, two or three Trip Package. Please note: You may substitute another student for the trip (with completed forms), up to 4 business days prior to the trip date. (Monday Jan 9; Feb 6; and Feb 27, 2017 respectively) See table for Whistler Blackcomb trip information: (please keep this fridge page ) Location Whistler/ Blackcomb Dates Saturday, January 14, 2017 Saturday, February 11, 2017 Saturday, March 4, 2017 Departing NWSS 6:00am: behind the school, between Moody Park Arena and Massey Theatre near the baseball diamond. Returning NWSS 6:00pm approximately: Same location Cost per trip Students who have their OWN equipment Lift Ticket, Ride Tribe Session & Instruction and Destination Snow Transportation to Whistler: Total cost (Including Tax) $130 Please see Registration Form for 1, 2 and 3 trip pricing. Discount for 3 trip package Students who will be Renting equipment Lift Ticket, Ride Tribe Session & Instruction, Rentals, and Destination Snow Transportation to Whistler: Total cost (Including GST & PST) $155 Payment can be made by cheque (made payable to NWSS SkiClub) or in cash. Full Payment must be received DUE DATE Nov 7th Spaces on the bus are on a first come, first serve basis. Payments can be made at lunch or afterschool to: Mrs Harbick in room 237 or 235 (not during class). Completed forms, with payment by CHEQUE, may be dropped off at Pearson office, labelled Harbick. All cash payments must be made in person to Mrs Harbick ALL STUDENTS MUST PARTICIPATE IN THE WHISTLER RIDE TRIBE PROGRAM. This is required by Whistler to cover their liability. Students ski/board in groups with an experienced guide. If the trip is cancelled by the school, all monies will be returned. Students must give 60 days notice for a full refund unless you are able to provide a replacement student as above. (Tuesday, Nov 15; Dec 13, 2016; and Jan 3, 2017, respectively). There will be no refund if students are late for the bus.
2 All students must complete and hand in ALL FORMS with BC Medical Number and have them signed by Parents or Guardians. All Club Members are expected to abide by NWSS School Policy Rules for the trips. (See school website for details: NWSS Club/Staff Coordinators: NWSS Ski & Snowboard Club website can be found at: Or find us on Facebook: NWSS Ski & Snowboard Club Name Chad Oatway Karen Harbick
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6 WHISTLER SKI TRIP BOOKING FORM 2017 Tour Name: Whistler Ride Tribe Ski Trip Tour Date: Jan 14 / Feb 11 / Mar 4 School: New West Secondary School Departure Time: 6:00am Organizer: Ms. Harbick & Mr. Oatway Return Time: 6:00pm (approx.) To Parents and Guardians: This is an important document. Please review the contents carefully prior to providing permission for your child to participate in this excursion. Forms that MUST BE Completed. DUE DATE Nov 7 th Registration Form/Medical Information Attached Waiver forms Description of Trips: This is a DCT ski/boarding day trip to Whistler Blackcomb Mountain to take part in their Ride Tribe Schools program. Students and teacher chaperons will be traveling by motor coach that has been chartered specifically for this trip. Safety Highlights of the Ride Tribe Program GPS tracking allows us to track students at all times on the mountain Full Day Supervision, students are supervised from the moment they leave the bus to the time they return Respect safety video shown on all tours Package includes: Bus transport to/from Whistler on deluxe motor coach bus Lift-pass for Whistler/Blackcomb Full day lesson with certified Whistler Coaches Prizes and giveaways on the bus Free helmet rental at the ski school (wrist guards for snowboarders) CANCELLATION POLICY: Full cancellation reimbursement 60 days before departure, 100% penalty if cancelled within that timeframe. ROLE OF DISCOVER CANADA TOURS We help schools plan and organize their trips from start to finish. DCT also provides 1-2 trained guides per bus to look after the details of running the trip. If you have any questions/concerns, please contact your group leader directly. Please see page 2 for Registration info.
7 RELEASE OF LIABILITY, WAIVER OF CLAIMS, ASSUMPTION OF RISKS AND INDEMNITY AGREEMENT (Hereinafter referred to as the Release Agreement ) BY SIGNING THIS DOCUMENT YOU WILL WAIVE CERTAIN LEGAL RIGHTS, INCLUDING THE RIGHT TO SUE OR CLAIM COMPENSATION FOLLOWING AN ACCIDENT PLEASE READ CAREFULLY! ASSUMPTION OF RISK: I am aware that UNIGLOBE Specialty Travel Ltd. DBA Discover Canada Tours, DC Student Adventures, Destination Snow, and Club ESL maintains no control over the personnel, equipment or operations of air, water or surface carrier, ship line, bus or limousine company, transportation company, hotel, restaurant or other person or entity furnishing services, products or accommodations as part of the trip (the "Suppliers"), because all of the Suppliers are independent contractors. I understand that during the trip, I may have the opportunity to participate in various optional activities, such as snow and water sports and other athletic activities, contests, excursions and side trips. I freely accept and assume all risks, dangers and hazards associated with my trip and such events and the possibility of personal injury, death, property damage and loss resulting from the use of such services, products, accommodations, activities, contests, excursions or side trips as part of the trip, including the risk of negligence on the part of any such service Supplier and understand that UNIGLOBE Specialty Travel Ltd. DBA Discover Canada Tours, DC Student Adventures, Destination Snow and Club ESL, shall not be responsible for any personal injury, death, property damage, loss, expense, accident, delay or inconvenience arising out of or relating to my trip or my participation in any activities. ACKNOWLEDGEMENT OF SAFETY: In this Agreement, the term Adventure Activities shall include but are not limited to use of skies, snowboards, skiing, climbing, hiking, sightseeing, orientation and instructional courses, seminars and sessions: and other such activities, events and services in any way connected with or related to those activities. I acknowledge that I am required to wear an approved helmet and other safety equipment while participating in certain Adventure Activities. I am aware that there are guides or instructors available to answer any questions that I may have as to the proper use of the equipment. I am aware that the physical exertion required of Adventure Activities and the forces exerted on the body can activate or aggravate pre-existing physical injuries, conditions or congenital defects. I acknowledge that I should seek medical advice if I know or suspect that my physical condition may be incompatible with Adventure Activities. I am aware that Adventure Activities involve many risks, dangers and hazards including but not limited to: Changing weather conditions, falling tree limbs and ice, falling from platforms, cables and bridges, shock, stress or other injury to body, encounters with wildlife including bears and cougars, equipment malfunction, collision with trees, snowmobiles or other vehicles, equipment or structures, collision with other participants or guides, failure to remain within designated areas, becoming lost or separated from guides or other participants, negligence or other participates or guides and NELIGENCE ON THE PART OF THE RELEASEES, INCLUDING THE FAILURE ON THE PART OF THE RELEASEES TO SAFEGUARD OR PROTECT ME FROM THE RISKS, DANGERS AND HAZARDS OF ADVENURE ACTIVITIES. I am also aware that these risks, dangers and hazards referred to above exist on terrain that may be uncontrolled, unmarked and are not inspected. I AM AWARE OF THE RISKS, DANGERS AND HAZARDS ASSOCIATED WITH ADVENTURE ACTIVITIES AND I FREELY AND VOLUNTARILY ACCEPT AND FULLY ASSUME ALL SUCH RISKS, DANGERS AND HAZARDS AND THE POSSIBILITY OF PERSONAL INJURY, DEATH, PROPERTY DAMAGE AND LOSS RESULTING THERE FROM, AND ELECT TO PARTICIPATE IN THE ADVENTURE ACTIVITIES IN SPITE OF SUCH RISKS, DANGERS AND HAZARDS. In consideration of UNIGLOBE Specialty Travel Ltd. DBA Discover Canada Tours, DC Student Adventures, Destination Snow and Club ESL, acting as the intermediary and agent for the Suppliers, I hereby agree as follows: 1. TO WAIVE ANY AND ALL CLAIMS that I have or may in the future have against UNIGLOBE Specialty Travel Ltd. DBA Discover Canada Tours, DC Student Adventures, Destination Snow and Club ESL, and its directors, officers, employees, volunteers, guides, agents and representatives (all of whom are hereinafter collectively referred to as "THE RELEASEES") and TO RELEASE THE RELEASEES from any and all liability for any loss, damage, expense, personal injury or death that I may suffer, or that my next of kin may suffer as a result of: Any wrongful, negligent or unauthorized act or omission on the part of any of these Suppliers or any of their agents, servants, employees or independent contractors, Any defect in or failure of any air craft, vessel, vehicle, equipment, instrumentality, service, product or accommodation which is owned, operated, furnished or otherwise used by any of these Suppliers, Any wrongful, negligent or unauthorized act or omission on the part of any other person or entity not under the direct control of the Releases, Any negligence, breach of contract or breach of any duty of care on the part of the Releases, or Any cause, condition or event whatsoever beyond the direct control of the Releases; 2. TO HOLD HARMLESS AND INDEMNIFY THE RELEASEES from any and all liability for any damage to property of, or personal injury to, any third party resulting from my acts or omissions during my trip; 3. This Agreement shall be effective and binding upon my heirs, next of kin, executors, administrators, assigns and representatives in the event of my death or incapacity; 4. This Agreement shall be governed by and interpreted in accordance with the laws of the Province of British Columbia; and 5. Any litigation involving the parties to this Agreement shall be brought within the Province of British Columbia. In entering into this Agreement, I am not relying upon any oral or written representations or statements made by the Releases other than what is set forth in this Agreement. Name: CellNumber: Date: Signature: dcstudentadventures.com
8 I CONFIRM THAT I HAVE READ AND UNDERSTAND THIS AGREEMENT PRIOR TO SIGNING IT, AND I AM AWARE THAT BY SIGNING THIS AGREEMENT I AM WAIVING CERTAIN LEGAL RIGHTS WHICH I OR MY HEIRS, NEXT OF KIN, EXCUTORS, ADMINISTRATORS, ASSIGNS AND REPRESENTATIVES MAY HAVE AGAINST THE RELEASEES. If any provision of this agreement is determined to be invalid or unenforceable in whole or in part, such invalidity or unenforceability with attach to only such provision or part thereof and the remaining part of such provision and all other provisions hereof with continue in full force and effect. Please check the correct box: I am over 19 years of age or older I am 18 years of age or younger. My parent or guardian has discussed the contents of this assumption of risk document with me before signing on my behalf. Please see below for informed consent. INFORMED CONSENT (Complete if participant is 18 or under) Tour Name: Tour Date: UNIGLOBE Specialty Travel Ltd. DBA Discover Canada Tours, DC Student Adventures, Destination Snow and Club ESL, their agents, owners, Officers, volunteers, participants, employees and all other persons or entities acting in capacity on their behalf (hereinafter collectively referred to as DCT ) THIS IS NOT A WAIVER AND SIGNING THIS FORM DOES NOT WAIVE YOUR CHILD S LEGAL RIGHTS. THIS INFORMED CONSENT AND ACKNOWLEDGMENT OF RISK FORM IS AN AGREEMENT BETWEEN THE CUSTODIAL PARENT/GUARDIAN OF THE YOUTH PARTICIPANT NAMED BELOW, THE YOUTH PARTICIPANT, AND DCT. The intent of this form is to inform you of the activities and expectations of our programs so that the choice to participate in any DCT program is made freely and with understanding of the associated benefits, risks and responsibilities. PLEASE READ CAREFULLY! PARTICIPANT S NAME: ** Only complete if participant is 18 or under PARENT/GUARDIAN NAME: ** Only complete if participant is 18 or under PARENT/GUARDIAN SIGNATURE: ** Only complete if participant is 18 or under DATE:
9 1 REGISTRATION FORM First Name: Last Name: Gender (circle one): M or F Grade: Citizenship: Date of Birth (:Year Month Day) PLEASE PRINT CLEARLY AND COMPLETE ALL BOXES 2 **All participants must complete section 1 and 2, please only complete section 3 if renting, if not please skip to part 4. ** Payment Information (please circle options to the right) 1 day** 2 day** 3 day Lift Ticket & Lesson Package $130 $260 $375 Lift Ticket, Lesson and Rental Package (ski or snowboard) $155 $310 $450 Total: **Please circle date below if only doing 1 or 2 days** January 14/ February 11/ March 4 3 IF RENTING: (Please complete the following) HEIGHT ft. in WEIGHT lbs. SHOE SIZE Please choose your rental package type Rental type 1 Rental type 2 Rental type 3 Skis/boards at lower Skis/boards at a variety of Skis/boards aggressively Speeds prefers easy terrain speeds prefers varied terrain prefers challenging terrain 4 LESSON TYPE & LEVEL SKI BOARD Check off the level of skiing or boarding for your lesson: Discovery Novice Intermediate Advanced/Expert First time ever on skis/board Skied/boarded 2-5 times on green terrain Able to ski/board blue terrain Able to ski/board on harder blue and black terrain dcstudentadventures.com
10 5 MEDICAL INFORMATION / EMERGENCY CONTACTS Student Name: First I Last Students Cell Phone # Parent Name: First I Last Parents Phone # Parent Emergency Contact: Name Phone # Student s Personal Health Card # Does the student have allergies and/or medication(s) that health care professionals should know about? If so, please specify
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